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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EXECUTIVE PLAZA MEDICAL, P.C.

Active Organization

EXECUTIVE PLAZA MEDICAL, P.C. is a Multi-Specialty Clinic organization located in DEARBORN, Michigan. NPI 1952715153 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · DEARBORN, MI

Registration Details

NPI Number
1952715153
Provider Type
Organization
NPI Issued
Jun 16, 2014 (12.182287623738 yrs)
Last Updated
Jan 13, 2015
Licenses
5101006652 (MI)
4301405559 (MI)
4301405324 (MI)
5101006652 (MI)

Practice Information

Address
17000 EXECUTIVE PLAZA DR
SUITE 103
DEARBORN, MI, 481262793
Browse MI providers · Browse ZIP 48126
Phone
3139154632
Fax
3139154634
Primary Specialty
Multi-Specialty Clinic
261QM1300X
Additional Specialty
Multi-Specialty Clinic
Additional Specialty
Multi-Specialty Clinic
Additional Specialty
Multi-Specialty Clinic

Other Multi-Specialty Clinic Organizations in DEARBORN, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.